Provider Demographics
NPI:1902379274
Name:CARON, NICOLETTE K (PA)
Entity Type:Individual
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First Name:NICOLETTE
Middle Name:K
Last Name:CARON
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Gender:F
Credentials:PA
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Mailing Address - Street 1:15 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1099
Mailing Address - Country:US
Mailing Address - Phone:207-351-2478
Mailing Address - Fax:207-351-2216
Practice Address - Street 1:99 CAMPUS AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6045
Practice Address - Country:US
Practice Address - Phone:077-738-1612
Practice Address - Fax:207-773-1489
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2022-07-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant